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Medical cost and out-of-pocket expenditure for preterm infants: evidence from Vietnam

Nguyen, Thi Binh An and Hoang, Phuong Minh and Phan, Phuc Huu and Van Eeuwijk, Piet and Fink, Günther. (2019) Medical cost and out-of-pocket expenditure for preterm infants: evidence from Vietnam. The Southeast Asian journal of tropical medicine and public health, 50 (6). pp. 1155-1168.

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Abstract

Preterm birth is a leading cause of death in children under 5 years in low and middle income countries, and a major determinant of neonatal mortality and morbidity globally. The aim of this study was to assess the total cost of preterm infant treatment, as well as the financial contribution made by families in provincial and national hospitals. Cross-sectional medical and financial data were collected in one purposely chosen provincial, as well as in one purposely chosen national hospital. Cost data for all infants discharged from the two hospitals in 2017 were collected and analyzed. Average total medical cost per child was USD 1,643.52 in the national hospital and USD 668.94 in the provincial hospital. Mean medical out-of-pocket expenditure was USD 60 at the national hospital. No medical out of pocket expenditure was reported at the provincial hospital when parents complied with national health insurance policies. Substantial financial penalties were found for bypassing lower level facilities. Parents seeking care at specialized hospitals without medical authorization paid on average an additional USD 240, which corresponds to 111% of the average monthly wage in Vietnam.
Faculties and Departments:04 Faculty of Humanities and Social Sciences > Departement Gesellschaftswissenschaften > Fachbereich Ethnologie > Medizinethnologie (Obrist )
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Society, Gender and Health > Medical Anthropology (Obrist)
UniBasel Contributors:Van Eeuwijk, Piet and Nguyen, An and Fink, Günther
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:SEAMEO
ISSN:0125-1562
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:26 Mar 2020 04:10
Deposited On:09 Dec 2019 15:54

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